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TOM K COFFEY MD
NPI 1942231782
Otolaryngology in Ojai, CA

Active since July 06, 2006PECOS EnrolledAccepts Medicare Assignment
97.8/100
CMS Quality Rating
1301 MARICOPA HWY STE B, OJAI, CA 93023(805) 272-8676(203) 452-7089 Get Directions Write a Review

NPPES record last updated: December 18, 2022. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Tom K Coffey Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TOM K COFFEY MD (NPI 1942231782) is an individual otolaryngology provider in Ojai, California, licensed in Connecticut (031622) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS and is a graduate of Columbia University College Of Physicians And Surgeons (1986).

NPPES Registry Identity

NPI1942231782
Entity TypeIndividualMale
Primary Taxonomy207Y00000X
Provider Legal NameTOM K COFFEYCredential: MD
Location Address1301 MARICOPA HWY STE BOjai, CA 93023-3130
Mailing Address1301 Maricopa Hwy Ste BOjai, CA 93023-3130 · (805) 272-8676 · Fax (805) 430-6846
Phone(805) 272-8676
Fax(203) 452-7089
Sole ProprietorNo
Medical School CMSColumbia University College Of Physicians And SurgeonsGraduated 1986
Enumeration DateJuly 6, 2006
Last NPPES UpdateDecember 18, 2022
NPPES CertifiedDecember 18, 2022
✔ NPI 1942231782 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
License✔ Licensed in CT · 031622
Definition
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
1301 MARICOPA HWY STE B, Ojai, CA 93023
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Other Identifiers 7

Other3443104002Ciana
Other010031622CT03Blue Cross
OtherP691119Oxford
Other003779Healthnet
Other0806723Aetna
Other1253285United Health
Other791182Connecticare

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Tom K Coffey Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4587578190
PECOS Enrollment IDI20230315000205
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 11

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
320 services212 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
306 services306 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
157 services103 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
105 services105 patients
Diagnostic exam of voice box using a flexible endoscope 31575
This procedure involves a doctor examining your voice box using a flexible endoscope, a thin tube with a light and camera. It's inserted through your nose or mouth to visualize your throat area. It helps detect any abnormalities in your voice box, ensuring optimal vocal health.
93 services86 patients
Exam of ear using a microscope 92504
An exam of the ear using a microscope allows a detailed view of the ear structures. This non-invasive procedure helps identify issues such as infections, blockages, or ear damage. It's a safe, quick, and painless way to evaluate ear health.
58 services35 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 93023 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$140.72 typical visit price
range $62.32 – $185.36
Typical copayment $35.18 (range $15.58 – $46.34)
Most-billed visit code 99204
Established Patient
$77.11 typical visit price
range $20.68 – $151.85
Typical copayment $19.27 (range $5.17 – $37.96)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

97.8/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality95.6
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Continuous positive airway pressure (cpap) device E0601
DME-Other DME · category DE001N
1 supplier16 claims20 services$26.59 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

EAR NOSE THROAT OF OJAI PC
Otolaryngology
1301 MARICOPA HWY STE B
OJAI, CA 93023
Ventura County (203) 400-2608

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tom Coffey's NPI number?

The NPI number for Tom Coffey is 1942231782. It was assigned to this individual provider in the NPPES registry on July 6, 2006.

Where is Tom Coffey located?

Tom Coffey practices at 1301 Maricopa Hwy Ste B, Ojai, CA 93023. The listed phone number is (805) 272-8676.

What is Tom Coffey's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Is Tom Coffey enrolled in Medicare?

Yes. Tom Coffey is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Tom Coffey was last updated on December 18, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.